BEUDAMED
    FDA Adverse Event Injury Summary report: N

    QUALA

    MDR report key: 211817 · Received February 26, 1999

    Report

    Report Number
    1412902-1999-00002
    Event Type
    Injury
    Date Received
    February 26, 1999
    Date of Event
    October 28, 1998
    Report Date
    January 22, 1999
    Manufacturer
    MPL TECHNOLOGIES
    Product Code
    DZM
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    KY, US
    Reporter Occupation
    DENTIST

    Narratives

    Description of Event or Problem · 1

    ORAL SURGERY WAS NEEDED TO REMOVE A BROKEN NEEDLE FROM A PT'S GUM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 QUALA DENTAL NEEDLE DZM MPL TECHNOLOGIES UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention